Full Citation
Title: The Impact of Stigma on Community Reintegration of Veterans With Traumatic Brain Injury and the Well-Being of Their Caregivers.
Citation Type: Journal Article
Publication Year: 2018
ISBN:
ISSN: 1532-821X
DOI: 10.1016/j.apmr.2018.04.007
NSFID:
PMCID:
PMID: 29729228
Abstract: OBJECTIVE To assess the association between perceived stigma and discrimination and caregiver strain, caregiver well-being, and patient community reintegration. DESIGN A cross-sectional survey study of 564 informal caregivers of U.S. military service veterans of wars in Iraq and Afghanistan who experienced traumatic brain injuries or polytrauma (TBI/PT). SETTING Care settings of community-dwelling former inpatients of U.S. Department of Veterans Affairs Polytrauma Rehabilitation Centers. PARTICIPANTS Caregivers of former inpatients (N=564), identified through next-of-kin records and subsequent nominations. INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES Caregiver strain, depression, anxiety, loneliness, and self-esteem; as well as care recipient community reintegration, a key aspect of TBI/PT rehabilitation. RESULTS Family stigma was associated with strain, depression, anxiety, loneliness, lower self-esteem, and less community reintegration. Caregiver stigma-by-association was associated with strain, depression, anxiety, loneliness, and lower self-esteem. Care recipient stigma was associated with caregiver strain, depression, anxiety, loneliness, lower self-esteem, and less community reintegration. CONCLUSIONS Perceived stigma may be a substantial source of stress for caregivers of U.S. military veterans with TBI/PT, and may contribute to poor outcomes for the health of caregivers and for the community reintegration of the veterans for whom they provide care.
Url: http://www.ncbi.nlm.nih.gov/pubmed/29729228
User Submitted?: No
Authors: Phelan, Sean M.; Bangerter, Lauren R; Friedemann-Sanchez, Greta; Lackore, Kandace A; Morris, Megan A; Van Houtven, Courtney Harold; Carlson, Kathleen F; van Ryn, Michelle; Harden, Kristin; Griffin, Joan M.
Periodical (Full): Archives of physical medicine and rehabilitation
Issue: 11
Volume: 99
Pages: 2222-2229
Countries: